| Spencer Folsom, | |
|
4205 Castlevale Rd, Yakima, WA 98908-5603 | |
| (509) 576-0100 | |
| Not Available |
| Full Name | Spencer Folsom |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 4205 Castlevale Rd, Yakima, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598580896 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT-8423 (Idaho) | Secondary |
| 225100000X | Physical Therapist | PT61364601 (Washington) | Primary |
| Provider Name | Creekside Physical Therapy Pllc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1922071455 PECOS PAC ID: 5294710562 Enrollment ID: O20040621001612 |
| Mailing Address | Practice Location Address |
|---|---|
| Spencer Folsom, 2501 S Slope Ln, Clarkston, WA 99403-1674 Ph: () - | Spencer Folsom, 4205 Castlevale Rd, Yakima, WA 98908-5603 Ph: (509) 576-0100 |
Teresa Kennedy, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 808 N 39th Ave, Yakima, WA 98902 Phone: 509-574-3329 | |
Laura Reed, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3801 Kern Way, Children's Village, Yakima, WA 98902 Phone: 509-574-3245 | |
Cascade Summit Physical Therapy Inc Ps Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3901 Creekside Loop, Suite 102, Yakima, WA 98902 Phone: 509-248-6113 Fax: 509-457-8941 | |
Jill Carson, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 710 N 39th Ave, Yakima, WA 98902 Phone: 509-248-4102 | |
Karen Marie Rice, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 111 S 11th Ave Ste 320, Yakima, WA 98902 Phone: 509-454-8888 Fax: 509-453-0061 | |
Michele Lynn Waitt Jacobs, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1608 S 24th Ave Ste 102, Yakima, WA 98902 Phone: 509-248-6113 Fax: 509-457-8941 | |
Katie Buck, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3801 Kern Road, Yakima, WA 98902 Phone: 509-574-3200 Fax: 509-574-3210 |